Case contributed by Dr Praveen Jha


Patient presented with an external opening at 7 O' clock position with intermittent pus discharge.

Patient Data

Age: 45
Gender: Male

An irregular fistulous tract is seen extending from the skin surface, traversing the external sphincter, into the intersphincteric plane. A secondary 'horse-shoe track' to contralateral side is also seen

Case Discussion

According to St. James University Hospital MR classification system, Grade 2 perianal fistula, is intersphincteric fistula with secondary track or abscess formation. Patient was operated, and diagnosis was confirmed.

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Case information

rID: 16166
Published: 24th Dec 2011
Last edited: 14th Jan 2016
Inclusion in quiz mode: Included

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